Organization Active NPI

Melodie'S Place LLC

  • Assisted Living Facility
  • Merritt Island, FL
National Provider Identifier
1629311519
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12265 Issued in FL
Legal business name
MELODIE'S PLACE LLC
Practice address
715 S Tropical TRL
Merritt Island, FL 32952-4952
Phone
(321) 537-2925
Fax
(321) 735-4737
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melodie Ann Hays
Title
Owner/Administrator
Phone
(321) 537-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12265 FL Primary

Addresses

Primary practice location

715 S Tropical TRL
Merritt Island, FL 32952-4952

Mailing address

715 S Tropical TRL
Merritt Island, FL 32952-4952
Phone (321) 537-2925

Other names 1

  • Melodie's Place On The River Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Melodie'S Place LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1629311519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524952",
            "telephone_number": "321-537-2925",
            "fax_number": "321-735-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524952",
            "telephone_number": "321-537-2925",
            "fax_number": "321-735-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODIE'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-537-2925",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melodie's Place On The River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.